Safe Work Method Statement

Project Name: Bluestar Project Address: 14th floor,Godrej 2, Vikhroli-East

Company Name: ANA Designs Pvt. Ltd. Company Address: 1A New india Chambers, MIDC central Rd, Andheri east. Mumbai
Engineer Name: Velu M Contact No: 9137177375

Trade: Design & Build Work Location: 14th Floor

Description of work
Hazardous Work Activity:
(Please tick relevant work activity) Х Energised electrical installation / services. Х Structural alterations / repairs with a potential for structural collapse.

√ Coring / Chasing / Cutting (no electrical power in the area) Х Works involving asbestos. Х Demolition of a load-bearing element of a structure.

Х Roof Access √ Working at heights (risk of falling more than 2 metres). Х Works in or near a 1.5+ metre shaft / trench (excavation).

Demolition / Strip-Out Works (that does not involve disturbing a

Х load bearing structure) Х Use, transport or storage of chemical, fuel or refrigerant lines. Х Works in or near a tunnel.

Х Shop Front Works (including glazing) Х Works near to or use of moving mobile plant. Х Works in areas exposed to extreme temperature.

Х Fire Services Х Works in or near a confined space. Х Works in or near water or other liquids with a risk of drowning.

Structural Work (all structural works including steel posts, beams

Х and concrete works) Х Tilt-up or precast concrete work. Х Construction diving work.

Х Works in contaminated or flammable atmospheres / areas. Х Works involving traffic corridors or other non-pedestrian traffic. Х Use of explosives.

Hydraulics work (all mains, waste water, sewerage, storm water

Х and hydraulic supply) Х Works carried out on a tower. Х Works on or near pressurised gas / piping.

Х Mechanical Work (all works related to air conditioning and lift services; pumps, pipes and ductwork related to other services structural work) Х Other

Tick the Personal protective equipment (PPE) requirements. Emergency arrangement details

Other Job
Specific PPE
Head Foot Hi-vis vest Hand Eye Hearing Fall arrest Fire/evacuation First Aid Pollution/spill
Hazardous materials: Are hazardous materials to be used? Yes No Is MSDS Available

Mention Specific controls required as per MSDS:

Permit required (tick below)

Permit to work confined spaces Excavation Permit LOTO

Hot-work permit Night work permit Height Work Permit Other

Person responsible for ensuring compliance with SWMS: Date of SWMS review:

What measures are in place to ensure compliance with the SWMS?

Person responsible for reviewing the SWMS control measures: Date SWMS received by reviewer:

How will the SWMS control measures be reviewed?

(SWMS control measures to be reviewed (and revised if SWMS Monitoring Record Reviewed when scope of work changes
necessary) if work tasks / methods change or unexpected
issues arise)
Reviewed during weekly / regular contractor meetings Site Inspection observations

Review date: Reviewer's signature:

Safe Work Method Statement

Version: 01 01/23/2025 Page 4 842446344.xlsx
 Inherent Risk Residual Risk
Potential Hazards / Risk Possible Control measures.
Description of Work Activity Risk before
Likelihood Consequences
Risk after
(What might go wrong?) Likelihood Consequences
controls (How do you stop it going wrong?) controls
Mobilization of manpower Personal injury, Material damage
1) Ensure Safety Induction Should be done for all
Likely Minor Moderate worker Possible Insignificant Low
2) Mandatory PPEs (Safety Helmet, Safety Shoes &
Reflective Jacket) to be provided.
3) Trained and experinced person to be mobilzie
Material Shifting Slips trips, Muscle strains, 1) Permit to work’ to be issued.
Lifting of Excessive Weight Manually, 2) ‘Tool Box Talk’ to be conducted before
Fall of material. Likely Moderate High commencement of work. Possible Minor Moderate
3) Follow proper material handling techniques.
4) Proper supervision.
5) Ensure good housekeeping.
Cutting/drilling of aluminum channels and wood. Personal injury, Electrical Shock, Fall of material, Fall of 1) Use of mandatory PPE’s along with Safety goggles,
person Dust Inhalation Eye irritation. cut resistant hand gloves and nose mask is a must for
Possible Moderate Moderate this activity. Unlikely Insignificant Low
2) Proper supervision.
3) Safety belt should be used during height work of
more than 1.8m or at the edges of building.
Wooden sheet Fixing Personal injury, Electrical Shock, Fall of material, Fall of 1) Use of Access & platform checked by Safety officer.
person Dust Inhalation 2) Provide anchorage arrangement for safety belt if
Foreign particles entering eyes. Unlikely Catastrophic High worker has to work over 1.8m. Likely Minor Moderate
3) Job Specific training to be conducted.
4) Proper Access, working platform, railings.
5) Ensure guard is provided at nip point.
Application of adhesives like fevicol, araldite and Skin irritation 1) Mandatory PPEs along with rubber hand gloves,
silicon. Inhalation of adhesive fumes nose mask, to be provided.
Unlikely Moderate Moderate 2) Proper storage of material along with MSDS Likely Insignificant Low
displayed.
3) MSDS should be briefed to the workers.
4) In case of body part contact with adhesive,
Fixing of glass on wooden surface and aluminum Fall of material. 1) Load lifted
guidelines should
in the MSDSnot exceed
needs 25kg/person
to be followed. at any
partitions. Broken glass pieces coming in contact with body. given point.
Hand getting caught while placing the glass. Possible Major High 2) Safe distance to be maintained from line of fire while Likely Minor Moderate
Trip hazard fixing the glass.
3) Glass vacuum holder to be used while fixing the glass
on wooden surface or in between aluminum frames.
Work During Night Shift Tripping Hazard Due to improper Illumination, 1) Provide proper illumination at working area.
Poor Visibility, Stress, Catnap. 2) Access should be free from obstacle.
Unlikely Moderate Moderate 3) Provide rest cycle during work hours. Likely Insignificant Low
4) Permit before starting the work at night, No work to
be carried out other than permitted (described in work
permit). vendor safety officer & site supervisor to be
Housekeeping Slip, trip, fall of Material due to improper stacking or fall of 1) Use of PPEs
available duringlike
thepvc hand
night gloves,
work and safety shoes /
continuous
material on body. gumboot, nose mask.
Fall of person. Unlikely Moderate Moderate 2) Proper training & proper supervision. Likely Insignificant Low
Caught in between materials. Exposure to dust. 3) Area defines for material stacking.
4) Barrication, All duct & lift shaft close. Access to be
cleared.
Power tools Electric Shocks ,Personal injury, , Fall of material, Fall of 1)Trained, experienced & authorized operator to be
person Dust Inhalation Eye irritation. deployed for the equipment
Unlikely Moderate Moderate 2Checked for all guards available, No Likely Insignificant Low
defects or damaged machine or tool must be used.
3) Cut and Joint
Cables Should be avoided from the site and ELCB/RCCB

Safe Work Method Statement

Inherent Risk Residual Risk
Potential Hazards / Risk Possible Control measures.
Description of Work Activity
Version: 01 01/23/2025 (What might go wrong?) Page 4 (How do you stop it going wrong?) 842446344.xlsx
 Potential Hazards / Risk Possible Control measures.
Description of Work Activity Risk before
Likelihood Consequences
Risk after
(What might go wrong?) Likelihood Consequences
controls (How do you stop it going wrong?) controls

Safe Work Method Statement

Workers briefed on the hazard associated for the activity and control measures on safe execution.
I understand and agree to adhere to the contents of this method statement. I have attended the briefing that explained the safe way to execute the activity as per recommended control measures.
ID No Name of Worker Worker Signature ID No Name of Worker Worker Signature

Version: 01 01/23/2025 Page 4 842446344.xlsx

Version: 01 01/23/2025 Page 4 842446344.xlsx